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| Borderline Personality Today | ||||
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Psychotropic
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Q. I am curious how one would diagnose my husband. The symptoms are
this: recently became addicted to pain medication and any other med's
he could get a hold of. This includes Nyquil and other night time cold
medicines. Has been in a treatment program (Charter) 3 times without
success. He swings in his personality. From one extreme of being so
favorable, quiet, cooperative, nice, giving handouts to people, loving
etc. Then he clicks over to being compulsive (eating, spending,
cleaning etc.) He is disruptive, rude, out of order with his actions,
believes untruthful things happened when recalling a situation that
did not highlight him well. He will twist an event around to where he
becomes the victim and everyone around him are trying to victimize
him. He will rage at times like this. Unkind to people. Will look
cross at authority. The click over seems to happen at the onset of a
disagreement. When times are smooth, he continues to stay in this
mellow mode. A disagreement occurs and he does all of the above -
without fail - and it will last for up to 2 weeks. I don't know what
to look up on this. I started with Personality Disorder because the
title sounded like him. Not sure from the things I have read though.
Point me into some direction. I really want to read up on some of the
options.
A. Consider doing some reading on substance abuse disorders to start. Some of the behaviors you described are consistent with people with substance abuse problems. Regardless of your reading, it sounds as if your husband has been aware of his behaviors since he has on 3 occasions sought treatment. Try to work with him to get him into some ongoing therapy that is not just crisis-related (i.e., treatment sought only during times of crisis or when ordered by some authority figure). 
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